Micki Linda Ross, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26059 Issued in CA

Practice address

27559 Paseo Segovia
San Juan Capistrano, CA 92675

Phone

(949) 291-0936

NPI assigned

Jan 10, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Linda Darlene Micki Morris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1497085757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27559 PASEO SEGOVIA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755367",
            "telephone_number": "949-291-0936",
            "fax_number": "949-388-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27559 PASEO SEGOVIA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-291-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MICKI",
        "middle_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-10",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA DARLENE",
            "last_name": "MORRIS",
            "middle_name": "MICKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Roeck
• Roger C. Sohn, MD, Inc.
• Cristina Carolina Romero de Montero, MD
• Scott Roquemore, ATC, EMT
• Ross Medical Associates San Juan
• Christian Emmett Roth
• Michael Anthony Rovzar, M.D.
• Leslie Rowan, MA, MFTI
• Daniel Robert Rudolph, DPT
• Ruitenberg Ventures Group

• Clinical Social Worker in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.